Senior Business Manager Primary Care

Job Overview

The Senior Business Manager will lead operations across two DMC Primary Care GP practices, driving service growth, governance, financial performance and high-quality patient care. This senior multi‑site role requires strong primary care leadership, NHS stakeholder engagement, commercial awareness and the ability to deliver improvement through effective leadership, digital innovation and data‑driven decision‑making.

• Oversee daily operations across both practices, ensuring safe, efficient and responsive services.
• Develop and deliver business plans that support growth, performance and sustainability.
• Build strong relationships with PCNs, ICBs, commissioners and wider NHS stakeholders.
• Strengthen governance, reputation and CQC readiness, supporting excellent patient outcomes.
• Use data, digital tools and AI to improve performance, efficiency and decision‑making.
• Maximise income opportunities through enhanced services, funding streams and contractual developments.

• Lead the strategic and operational management of two GP practices, ensuring safe, efficient and patient‑focused services. Develop and deliver business plans aligned with organisational objectives, NHS priorities and local needs.
• Oversee day‑to‑day operations, service delivery and patient access. Manage budgets, contracts, income generation, expenditure and payroll processes with finance colleagues.
• Identify opportunities for funding, service growth and commercial development. Lead workforce planning, recruitment, onboarding, training, rota management, performance and staff engagement.
• Build effective relationships with PCNs, ICBs, commissioners, NHS partners and key stakeholders. Ensure compliance with CQC standards, safeguarding, health and safety, data protection and practice policies.
• Lead CQC inspection readiness and continuous improvement in quality, governance and regulatory compliance. Use data, reporting, digital systems and AI‑enabled tools to support decision‑making and service improvement.
• Review and improve appointment systems, patient communications, feedback processes and access to services. Monitor performance, risks, incidents, complaints and feedback, ensuring actions are implemented and learning embedded.
• Promote a positive, accountable and high‑performing culture and support organisational change and service redesign where required.

The role reports to the Group Manager Director and senior leadership team, being accountable for operational performance across both GP practices. The post holder will lead clinical, administrative and operational teams and work closely with practice leads, finance, HR and wider DMC colleagues.

• Proven senior leadership or management experience within NHS Primary Care, general practice, PCNs or a comparable healthcare environment.
• Strong and current understanding of the Primary Care marketplace, NHS policy direction, government strategy and local healthcare priorities.
• Demonstrable experience managing practice operations, staff, budgets, performance and service improvement.
• Established relationships or proven ability to build effective working relationships across the local and wider NHS.
• Experience supporting CQC compliance, governance, quality improvement and inspection readiness.
• Strong financial acumen, with experience in budgeting, income maximisation, contract management and cost control.
• Excellent communication, negotiation, problem‑solving and stakeholder management skills.
• Strong IT capability and confidence using data to monitor performance, identify issues and drive improvement.

• Management, HR, leadership, business or healthcare management qualification.
• Experience managing more than one GP practice or working within a group primary care structure.
• Experience working collaboratively with Primary Care Networks and wider system partners.
• Experience securing or supporting NHS funding, service development, capital investment or new revenue streams.
• Experience improving CQC outcomes or leading preparation for CQC inspection.
• Working knowledge of EMIS Web, Systm One or equivalent clinical systems.